KENZIE M URBAN Pharmacist License verification

Business Entity

NOT RENEWED

License Type

Pharmacist

Description

PHARMACY TECHNICIAN

License Number

049285914

License Status

NOT RENEWED

Business

First Name

KENZIE

Middle

Last Name

URBAN

Business Name

KENZIE M URBAN

Original Issue Date

09/30/2021

Effective Date

04/06/2022

Expiration Date

03/31/2023

City

RIDGEFARM

State

Zip

61870

County

VERMILION

Ever Disciplined

LastModifiedDate

09/07/2023